Electronic Remittance (ERA) YES. Muskegon, MI P.O. 0000081130 00000 n Electronic Services Available (EDI) Professional/1500 Claims. With Claims Guest Access, you will be asked to provide key information about the claim. January 2016 Summary: The Claims Examiner II is in daily contact with team members, clients and providers. Phone Number. A. How do I find a PHCS physician or ancillary provider? B. Immunizations for routine use in children, adolescents and adults who have a recommendation from the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention. Username, We offer a wide range of data-driven and member-centric health plans that help employers reduce costs, improve plan performance, and enhance employee. PO Box 1938, Arlington. Once the procedure has been performed, the plan pays based on that estimate as well as any other charges incurred during the procedure, just like a normal plan. 0000095639 00000 n Ready to deliver innovative solutions? Northern Illinois HP. Contact Narus Health at the number on your ID card. Nashville, TN 37219, if (window.location.href.includes('/naa')){sessionStorage.setItem('cypress', false);} Non-Exempt Prepared By: HR to Go Prepared Date: January 2016 Summary: The Claims Examiner II is in daily contact with team members, clients and providers. File your paperwork promptly and within the time limit. A. Website. 0000067362 00000 n 0000008857 00000 n Service . Please note, the PAC process will take anaverage of 60 days to complete. 0000004263 00000 n Doctors have various reasons for not joining networks. Although this is the quickest and most efficient way to get your claim paid, we know you may have questions or concerns. If you have a procedure that requires multiple physician and ancillary doctors to be in attendance to provide services, each provider will bill separately for their services. Address; Commercial: Health Net Commercial Claims PO Box 9040 Farmington, MO 63640-9040: Medi-Cal: Health Net Medi-Cal Claims PO Box 9020 Farmington, MO 63640-9020: . Kaiser Permanente also offers a dedicated phone line for Cigna PPO providers only for preauthorization questions - 888-831-0761. Get a Quote Access the Portal Member Employer Provider Broker NetAccess Login Manage Your FSA/HRA Learn More About Lucent Health Learn More Contact Us Explorerecent.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. Narus Health will keep you informed on the status of the procedure. Lucent Health Solutions LLC. 0000076445 00000 n Typically, your doctor or provider, especially if theyre in your plan, will submit the claim for you. Were constantly innovating to make your care better and more affordable. Medova HealthCare. Medical Claims. AA002. Professional Benefit Administrators, Inc. S&S - American National Insurance Company. 0000075777 00000 n Providers should call Lucent Health to confirm your eligibility and benefits at 877-214-2129. This means the doctor you choose is with you every step of the way. To use the Claims Guest Access portal, go to kp.org/providers and select the members KP region. Make sure to pay your patient responsibility to the provider or contact the provider to set up a payment plan. What do I do if I go to a physician or ancillary service provider and they will not accept my insurance? 0000014087 00000 n Is there a way to communicate with the Narus Concierge team other than phone? 0000010532 00000 n You may be required to sign documents allowing the PAC to represent you while it resolves the bill. 0000067249 00000 n Ayy2 ;H $O%:ngbbL7g2e` x5E*FM M6]Xu@1E $|q If you receive a bill from yourprovider that shows your responsibility is more than yourexplanation of benefits reflects, [], if (window.location.href.includes('/naa')){sessionStorage.setItem('cypress', false);} North America Administrators is part of the Lucent Health family. This evolution allows us to grow and add quality services to our platform of solutions for self-insured employers and covered members. License Agreement. Narus Health will work with the plan to resolve the balance bill. Lucent Health. Box 880. Trilogy Health Solutions - Wisconsin Preferred Provider Network . The plan will process and pay your claims as they are received, and you will receive an EOB for each claim submitted for payment. For a complete listing on the services covered as Preventive Care by the plan, please refer to the Summary Plan Description (SPD). Institutional/UB Claims. (2) When calling Marpai Health, a group specific phone number may be provided. 0000072529 00000 n Zelis Healthcare - Benefit Management, LLC. What Are You Looking For? 0000075874 00000 n 0000027837 00000 n The claim must be submitted and processed to generate an EOB. If you need immediate attention, please call: (855) 887-0855, There was an error trying to send your message. Employee's Name: Job Title: Claims Examiner II Department: Claims Reports To: Claims Supervisor FLSA Status: Non-Exempt Prepared By: HR to Go Prepared Date: January 2016 Summary: The Claims Examiner II is in daily contact with team members . Narus Health will collect your name, member ID number, facility name and contact information, physicians name and contact information, type of procedure, and date of procedure. However, your plan is open access for facilities,physicians and ancillary providers, which allows you tochoose any service provider and facility. Required fields are marked *. Narus Health will verify your coverage and benefits and explain that all physicians are paid at the same benefit level as PHCS providers on your plan. Submit the completed form with a copy of a superbill from your provider and a [], Contact Narus Health atthe number on your ID card. 0000005323 00000 n PO Box 182223. Submit All Claims To: First Choice Health Network PO Box 2289 Seattle, WA 98111-2289 While Lucent Health addresses employers' needs, Narus Health is there to support employees and their families. Heights, IL 60006-1938 AMERICAN HEALTHCARE ALLIANCE. The PAC will keep you informed on the status until an agreement is reached. Allergychoices works with providers to help you treat the cause of your allergies giving you the chance to reduce or stop symptoms and change the course of your allergic disease. In some cases when you visit a doctor , https://www.anthem.com/member-resources/claims, Health (3 days ago) Web Contact Lucent Health View your ID Card Document Library More To access your Adult Dependent Healthcare Coverage and Claims detail, you will need to , http://www.vanfiretrust.org/uploads/4/9/6/3/49633983/lucent_online_-_welcome_flyer_revised_10-29-20.pdf, Health (1 days ago) WebAddress; Commercial: Health Net Commercial Claims PO Box 9040 Farmington, MO 63640-9040: Medi-Cal: Health Net Medi-Cal Claims PO Box 9020 , https://www.healthnet.com/content/healthnet/en_us/providers/claims.html. Farmington, MI 48331 www.cypressbenefit.com. H. Mammograms are limited to one baseline mammogram beginning at age 35 and then annually for ages 4074. Health (1 days ago) WebPlease email [emailprotected] if you have forgotten your username or need to have your password reset. YL[jst3>b. Are my financial obligations capped at my out-of-pocket maximum? None of my doctors are in the network. What providers can I see? Narus Health will check for medical necessity and advise the provider if the requested service is authorized by the plan. This phone service begins August 1, 2022. What services are covered as Preventive Care and covered 100% of the allowable amount by the plan? trailer <<40A257F259B54AAD842F003489C5A9D8>]/Prev 101090>> startxref 0 %%EOF 92 0 obj <>stream Thank you for your message. Contact - Lucent Health. 0000041103 00000 n . Facility If the balance bill is from a facility, Narus Health , Health (9 days ago) WebContact Lucent Member Services at 1-877-382-8587. and you will receive an explanation of benefits for each claim submitted for payment. Toggle navigation COVID-19 Info The plan requires you to gain preapproval for these procedures by calling the utilization review company at the number listed on your ID card. Use our online Provider Portal or call 1-800-950-7040 Medicare Advantage or Medicaid call 1-866-971-7427 Visit our other websites for Medicaid and Medicare Advantage 230 0 obj <>stream As may vary by group, please call the phone number listed on the member ID card. The plan will contact the facility and, if needed, begin pre-service negotiations. F. Routine physical exam and associated diagnostic tests and immunization. 0000085410 00000 n Blue Cross Blue Shield MT PO BOX 546. Full-Time. PHCS: Contact PHCS to find a physician and confirm theyare in the PHCS network. endstream endobj startxref Why did I receive three different explanations of benefits (EOB) for one procedure or surgery? By using this website, you are agreeing to be bound by this Agreement. S&S - Dunn & Associates Benefit Administrators, Inc. S&S - Employee Benefit Service Center, The, S&S - Enterprise Group Planning Inc. (EGP), S&S - Fox Everett, a division of HUB International Healthcare Solutions, LLC, S&S - Gravie Administrative Services, LLC, S&S - International Benefit Administrators, S&S - United Group Programs, Inc. (OptiMed Health Plans). Zelis Healthcare - Exemplar Health Benefits. 0000050340 00000 n 0000050417 00000 n 0000076065 00000 n Its a quick and easy way to get the care you need with no appointments or long wait times. Operations Division Claims You may go to doctors who do not participate in the PHCS network. Dental Claims. Further, you can choose to receive services at any hospital, skilled nursing facility, ambulatory surgery centeror behavioral health facility where inpatient or outpatientservices are provided. 0000021728 00000 n 0000081053 00000 n What if I still have questions about the payment process, treatment plan and next steps? Narus Health will help you understand your plan and your benefits. Read more. YES. Claims Procedures. Getting your prescription filled is easy. The provider may give you an itemized statement the day you see them, or they may mail you an itemized statement. Prescription drugs are filled through Magellan Health, the pharmacy benefits manager. At this time, the plan may provide an estimated payment amount to the facility. 0000003023 00000 n Narus Health will coordinate with the plan on your behalf and let it know that the facility is not accepting the insurance.